股前外侧皮瓣穿支解剖学特征与定位方法的专家共识（2024版）

doi:10.13418/j.issn.1001-165x.2024.5.01

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中国临床解剖学杂志 ›› 2024, Vol. 42 ›› Issue (5) : 489-499. DOI: 10.13418/j.issn.1001-165x.2024.5.01

专家共识

股前外侧皮瓣穿支解剖学特征与定位方法的专家共识（2024版）

徐永清¹，唐举玉²，　刘元波³，　周征兵⁴，　蒋灿华⁵，　张兴⁶，　张世民⁷，　芮永军⁸，
杨晓东⁹，　巨积辉¹⁰，　孙向东¹¹，　丁小珩¹²，　周小兵¹³，　魏在荣¹⁴，　杜青晏³，
臧梦青³，　俞芳²，　刘族安¹⁵，　杨曦¹，　魏鹏¹⁶，　宋达疆¹⁷，　李赞¹⁷，　战杰¹⁸，
聂开瑜¹⁴，　郭峰⁵，　吴攀峰²，　王欣¹⁹，　崔怀瑞²⁰，　谢松林²¹，　刘俊²²，
刘亦杨²³，　李士民²⁴，　范新宇¹，　何晓清¹，　王腾¹，聂广辰²⁵，　赵刚⁸，
刘军⁸，　石小田²⁶，　张春²³，　唐茂林²⁰，　徐达传²⁷

作者信息 +

Expert consensus on the anatomical characteristics and localization methods of perforators of anterolateral thigh flap (2024 edition)

Xu Yongqing¹, Tang Juyu²，Liu Yuanbo³, Zhou Zhengbing⁴, Jiang Canhua⁵, Zhang Xing⁶, Chang Shimin⁷, Rui Yongjun⁸, Yang Xiaodong⁹, Ju Jihui¹⁰, Sun Xiangdong¹¹,Ding Xiaoheng¹², Zhou Xiaobing¹³, Wei Zairong¹⁴, Du Qingyan³, Zang Meiqing³, Yu Fang²，Liu Zuan¹⁵，Yang Xi¹, Wei Peng¹⁶, Song Dajiang¹⁷，Li Zan¹⁷，Zhan Jie¹⁸，Nie Kaiyu¹⁴，Guo Feng⁵, Wu Panfeng², Wang Xin¹⁹，Cui Huairui²⁰, Xie Songlin²¹, Liu Jun²², Liu Yiyang²³, Li Shimin²⁴，Fan Xinyu¹，He Xiaoqing¹，Wang Teng¹, Nie Guangchen²⁵, Zhao Gang⁸，Liu Jun⁸, Shi Xiaotian²⁶, Zhang Chun²³, Tang Maolin²⁰, Xu Dachuan²⁷

Author information +

文章历史 +

摘要

股前外侧皮瓣(Anterolateral thigh flap，ALTF)是以股前外侧为组织供区、主要以旋股外侧动脉 (Lateral circumflex femoral artery，LCFA) 穿支为供血系统的外科皮瓣。ALTF作为一种经典的 “万能皮瓣” 广泛应用于临床修复重建领域。为了对ALTF穿支解剖特征与定位方法的研究成果进行系统的梳理和总结，由中华医学会显微外科学分会与中国解剖学会临床解剖学分会牵头，《中国临床解剖学杂志》编辑部组织国内多名从事显微修复重建外科的专家共同讨论，拟定《股前外侧皮瓣穿支解剖特征与定位方法的专家共识(2024版)》，旨在进一步推广其临床应用并展示我国学者在ALTF发展过程中所做的贡献。

Abstract

The anterolateral thigh flap (ALTF), often referred to as a "versatile flap" due to its versatility, is extensively utilized in clinical repair and reconstructive surgery. This surgical flap involves using the anterolateral thigh as the donor site, primarily depending on the perforating branches of the lateral circumflex femoral artery (LCFA) for its blood supply. To comprehensively review and summarize the research findings regarding the anatomical characteristics and location of the perforators of the ALTF, the Microsurgery Branch of the Chinese Medical Association, the Clinical Anatomy Branch of the Chinese Society for Anatomical Sciences, and the Editorial Board of the Chinese Journal of Clinical Anatomy have taken the initiative to organize numerous domestic experts specializing in microsurgical repair and reconstruction. These experts convened to deliberate and formulate the "Expert Consensus on the Anatomical Characteristics and Localization Methods of Perforators of the Anterolateral Thigh Flap (2024 Edition)". The consensus aims to further advance the clinical application of the ALTF and to acknowledge the contributions of Chinese scholars to the advancement of ALTF techniques.

导出引用

徐永清, 唐举玉, 刘元波, 周征兵, 蒋灿华, 张兴, 张世民, 芮永军, 杨晓东, 巨积辉, 孙向东, 丁小珩, 周小兵, 魏在荣, 杜青晏, 臧梦青, 俞芳, 刘族安, 杨曦, 魏鹏, 宋达疆, 李赞, 战杰, 聂开瑜, 郭峰, 吴攀峰, 王欣, 崔怀瑞, 谢松林, 刘俊, 刘亦杨, 李士民, 范新宇, 何晓清, 王腾, 聂广辰, 赵刚, 刘军, 石小田, 张春, 唐茂林, 徐达传. 股前外侧皮瓣穿支解剖学特征与定位方法的专家共识（2024版）[J]. 中国临床解剖学杂志. 2024, 42(5): 489-499 https://doi.org/10.13418/j.issn.1001-165x.2024.5.01

Xu Yongqing, Tang Juyu, Liu Yuanbo, Zhou Zhengbing, Jiang Canhua, Zhang Xing, Chang Shimin, Rui Yongjun, Yang Xiaodong, Ju Jihui, Sun Xiangdong, Ding Xiaoheng, Zhou Xiaobing, Wei Zairong, Du Qingyan, Zang Meiqing, Yu Fang, Liu Zuan, Yang Xi, Wei Peng, Song Dajiang, Li Zan, Zhan Jie, Nie Kaiyu, Guo Feng, Wu Panfeng, Wang Xin, Cui Huairui, Xie Songlin, Liu Jun, Liu Yiyang, Li Shimin, Fan Xinyu, He Xiaoqing, Wang Teng, Nie Guangchen, Zhao Gang, Liu Jun, Shi Xiaotian, Zhang Chun, Tang Maolin, Xu Dachuan. Expert consensus on the anatomical characteristics and localization methods of perforators of anterolateral thigh flap (2024 edition)[J]. Chinese Journal of Clinical Anatomy. 2024, 42(5): 489-499 https://doi.org/10.13418/j.issn.1001-165x.2024.5.01

中图分类号： R322

参考文献

[1] Cooper A. Dissection of a limb on which the Operation for Popliteal Aneurism had been performed[J]. Med Chir Trans, 1811,2:251-420. DOI:10.1177/095952871100200122.
[2] Lipshutz BB. Studies on the blood vascular tree. I. A composite study of the femoral artery[J]. The Anatomical Record, 1916,10(5):361-370. DOI:10.1002/ar.1090100502.
[3] Baek SM. Two new cutaneous free flaps: the medial and lateral thigh flaps[J]. Plast Reconstr Surg, 1983,71(3):354-365. DOI: 10.1097/00006534-198303000-00012.
[4] 徐达传，钟世镇，刘牧之, 等. 股前外侧部皮瓣的解剖学－一个新的游离皮瓣供区[J]. 临床应用解剖学杂志, 1984, 2(3):158-160. DOI: 10.13418/j.issn.1001-165x.1984.03.012.
[5] Song YG, Chen GZ, Song YL. The free thigh flap: a new free flap concept based on the septocutaneous artery[J]. Br J Plast Surg, 1984, 37(2):149-159. DOI: 10.1016/0007-1226(84)90002-X.
[6] 罗力生, 高建华, 陈林峰, 等. 股前外側皮瓣及其游离移植的应用[J]. 第一军医大学学报, 1984, 4(1,2):1-4.
[7] Xu DC, Zhong SZ, Kong JM, et al. Applied anatomy of the anterolateral femoral flap[J]. Plast Reconstr Surg, 1988,82(2):305-310. DOI: 10.1097/00006534-198808000-00016.
[8] Koshima I, Fukuda H, Utunomiya R, et al. The anterolateral thigh flap; variations in its vascular pedicle[J]. Br J Plast Surg, 1989,42(3):260-262. DOI: 10.1016/0007-1226(89)90142-2.
[9] Koshima I, Yamamoto H, Hosoda M, et al. Free combined composite flaps using the lateral circumflex femoral system for repair of massive defects of the head and neck regions: an introduction to the chimeric flap principle[J]. Plast Reconstr Surg, 1993,92(3):411-420. DOI: 10.1097/00006534-199309000-00004.
[10]张春, 占蓓蕾, 陈土根, 等. 股前外侧皮瓣血管的临床分型及意义[J]. 中国临床解剖学杂志, 1991,9(2):109-111, 128. DOI: 10.13418/j.issn.1001-165x.1991.02.024.
[11]Zhou G, Qiao Q, Chen G Y, et al. Clinical experience and surgical anatomy of 32 free anterolateral thigh flap transplantations[J]. Br J Plast Surg, 1991,44(2):91-96. DOI: 10.1016/0007-1226(91)90038-L.
[12]Kimata Y, Uchiyama K, Ebihara S, et al. Anatomic variations and technical problems of the anterolateral thigh flap: a report of 74 cases[J]. Plast Reconstr Surg, 1998,102(5):1517-1523. DOI: 10.1097/00006534-199810000-00026.
[13]Luo S, Raffoul W, LuoJ, et al. Anterolateral thigh flap: A review of 168 cases[J]. Microsurgery,1999,19(5):232-238.DOI:10.1002/(SICI)1098-2752(1999)19:5<232::AID-MICR5>3.0.CO;2-S.
[14]Huang LY, Lin H, Liu YT, et al. Anterolateral thigh vastus lateralis myocutaneous flap for vulvar reconstruction after radical vulvectomy: a preliminary experience[J]. Gynecol Oncol, 2000,78(3 Pt 1):391-393. DOI: 10.1006/gyno.2000.5883.
[15]Wei F C, Jain V, Celik N, et al. Have we found an ideal soft-tissue flap? An experience with 672 anterolateral thigh flaps[J]. Plast Reconstr Surg, 2002,109(7):2219-2226, 2227-2230. DOI: 10.1097/00006534-200206000-00008.
[16]徐达传, 阮默, 张春, 等. 股前外侧部皮瓣的进一步解剖学研究--高位皮动脉与皮瓣血供的分型[J]. 中国临床解剖学杂志, 2002, 20(6):410-413. DOI: 10.13418/j.issn.1001-165x.2002.06.004.
[17]Wong CH, Wei FC, Fu B, et al. Alternative vascular pedicle of the anterolateral thigh flap: the oblique branch of the lateral circumflex femoral artery[J]. Plast Reconstr Surg, 2009,123(2):571-577. DOI:10.1097/PRS.0b013e318195658f.
[18]Wong CH. The oblique branch trap in the harvest of the anterolateral thigh myocutaneous flap[J]. Microsurgery, 2012, 32(8):631-634. DOI: 10.1002/micr.22011.
[19]Valdatta L, Tuinder S, Buoro M, et al. Lateral circumflex femoral arterial system and perforators of the anterolateral thigh flap: an anatomic study[J]. Ann Plast Surg, 2002,49(2):145-150. DOI: 10.1097/00000637-200208000-00006.
[20]Choi SW, Park JY, Hur MS, et al. An anatomic assessment on perforators of the lateral circumflex femoral artery for anterolateral thigh flap[J]. J Craniofac Surg, 2007,18(4):866-871. DOI: 10.1097/scs.0b013e3180a03304.
[21]Tomaszewski KA, Vikse J, Henry BM, et al. The variable origin of the lateral circumflex femoral artery: a meta-analysis and proposal for a new classification system[J]. Folia Morphol (Warsz), 2017,76(2):157-167. DOI: 10.5603/fm.a2016.0056.
[22]Pan SC, Yu JC, Shieh SJ, et al. Distally based anterolateral thigh flap: an anatomic and clinical study[J]. Plast Reconstr Surg, 2004, 114(7):1768-1775. DOI: 10.1097/01.PRS.0000142416.91524.4C.
[23]Seth R, Manz RM, Dahan IJ, et al. Comprehensive analysis of the anterolateral thigh flap vascular anatomy[J]. Arch Facial Plast Surg, 2011,13(5):347-354. DOI: 10.1001/archfacial.2011.16.
[24]张增方, 杜建春, 朱朝晖, 等. 旋股外侧动脉升支薄型皮瓣的临床应用[J]. 中华创伤骨科杂志, 2004, 6(12):1433-1434. DOI: 10.3760/cma.j.issn.1671-7600.2004.12.040.
[25]黄永涛, 杨林, 巨积辉. 以旋股外侧动脉各分支为蒂的股前外侧皮瓣临床应用研究进展[J]. 中国美容整形外科杂志, 2023, 34(7):412-415. DOI:10.3969/j.issn.1673-7040.2023.07.009.
[26]Wong C H, Wei F C. Anterolateral thigh flap[J]. Head Neck, 2010,32(4):529-540. DOI: 10.1002/hed.21204.
[27]程俊楠, 柳志锦, 杨林, 等. 基于解剖学研究的三级命名法在旋股外侧动脉主要分支命名中的应用探讨[J]. 中华解剖与临床杂志, 2022,27(1):13-18. DOI: 10.3760/cma.j.cn101202-20210410-00093.
[28]王欣, 章伟文, 陈宏, 等. 带旋股外动脉横支的股前外侧皮瓣在小腿保肢术中的应用[J]. 现代实用医学, 2009,21(7):718, 721. DOI: 10.3969/j.issn.1671-0800.2009.07.023.
[29]Gao S H, Feng S M, Chen C, et al. A new recipient artery for reconstruction of soft-tissue defects in the lower limb with a free anterolateral thigh flap: the reversed descending branch of the lateral femoral circumflex artery[J]. Plast Reconstr Surg, 2012,130(5):1059-1065. DOI: 10.1097/PRS.0000000000000448.
[30]Lakhiani C, Lee M R, Saint-Cyr M. Vascular anatomy of the anterolateral thigh flap: a systematic review[J]. Plast Reconstr Surg, 2012,130(6):1254-1268. DOI: 10.1097/PRS.0b013e31826d1662.
[31]罗力生, 张立宪, 胡志奇. 高位直接皮支型股前外侧皮瓣的应用[J]. 中国修复重建外科杂志, 2001,15(4):206-207.
[32]Yu P, Youssef A. Efficacy of the handheld Doppler in preoperative identification of the cutaneous perforators in the anterolateral thigh flap[J]. Plast Reconstr Surg, 2006,118(4):928-933. DOI: 10.1097/01.prs.0000232216.34854.63.
[33]Rozen W M, Ashton M W, Pan W R, et al. Anatomical variations in the harvest of anterolateral thigh flap perforators: a cadaveric and clinical study[J]. Microsurgery, 2009,29(1):16-23. DOI: 10.1002/micr.20550.
[34]Nojima K, Brown SA, Acikel C, et al. Defining vascular supply and territory of thinned perforator flaps: part I. Anterolateral thigh perforator flap[J]. Plast Reconstr Surg, 2005,116(1):182-193. DOI: 10.1097/01.prs.0000170801.78135.00.
[35]Lee YC, Chen WC, Chou TM, et al. Anatomical variability of the anterolateral thigh flap perforators: vascular anatomy and its clinical implications[J]. Plast Reconstr Surg, 2015,135(4):1097-1107. DOI: 10.1097/PRS.0000000000001103.
[36]Malhotra K, Lian TS, Chakradeo V. Vascular anatomy of anterolateral thigh flap[J]. Laryngoscope, 2008,118(4):589-592. DOI: 10.1097/mlg.0b013e31815ed0e8.
[37]Kim EK, Kang BS, Hong JP. The distribution of the perforators in the anterolateral thigh and the utility of multidetector row computed tomography angiography in preoperative planning[J]. Ann Plast Surg, 2010,65(2):155-160. DOI: 10.1097/SAP.0b013e3181c60f60.
[38]Ribuffo D, Atzeni M, Saba L, et al. Angio computed tomography preoperative evaluation for anterolateral thigh flap harvesting[J]. Ann Plast Surg, 2009,62(4):368-371. DOI: 10.2752/089279306785415529.
[39]Celik N, Wei FC, Lin CH, et al. Technique and strategy in anterolateral thigh perforator flap surgery, based on an analysis of 15 complete and partial failures in 439 cases[J]. Plast Reconstr Surg, 2002,109(7):2211-2216, 2217-2218. DOI: 10.1023/A:1025406108454.
[40]Zapata-Ospina A, Chen J, Tee R, et al. Harvesting the anterolateral thigh flap with non-sizable perforators[J]. J Plast Reconstr Aesthet Surg, 2021,74(5):1022-1030. DOI: 10.1016/j.bjps.2020.10.063.
[41]Xie T, Wang M, Zang M, et al. Extrinsic vascular pathway preservation improves survival in a rat three-territory flap model based on the deep circumflex iliac artery[J]. Plast Reconstr Surg, 2024,153(6):1119e-1130e. DOI: 10.1097/PRS.0000000000010843.
[42]唐茂林. 股前外侧逆行岛状皮瓣的解剖学基础[J]. 中华显微外科杂志, 1992, 15(2):93-95.
[43]张世民. 皮瓣远侧血液循环增强技术：外增压、内增压和超回流[J]. 中华显微外科杂志,2016, 39(6):524-525. DOI: 10.3760/cma.j.issn. 1001-2036.2016.06.002.
[44]江奕恒, 李学雷, 石小田, 等. 股前外侧单一高位穿支供血区域的形态学研究与皮瓣设计[J]. 中国临床解剖学杂志, 2007, 25(5):497-501. DOI: 10.3969/j.issn.1001-165X.2007.05.004.
[45]刘会仁, 张艳茂, 马铁鹏, 等. 对高位皮动脉股前外侧皮瓣的临床认识[J]. 中华显微外科杂志, 2017,40(5):456-459. DOI: 10.3760/cma.j.issn.1001-2036.2017.05.011.
[46]Liu WW, Guo ZM. Reconstruction of wide-apart double defect using a branch-based chimeric anterolateral thigh flap[J]. Plast Reconstr Surg Glob Open, 2014, 2(1):e96. DOI: 10.1097/GOX.0000000000000014.
[47]Hubmer MG, Feigl G. Alternative vascular pedicle of the anterolateral thigh flap: does an oblique branch really exist?[J]. Plast Reconstr Surg, 2010,125(5):1580-1581. DOI: 10.1097/PRS.0b013e3181d51655.
[48]孙雪, 魏在荣, 金文虎, 等. 旋股外侧动脉斜支穿支的解剖学特点及其临床应用[J]. 中华显微外科杂志, 2017,40(1):58-62. DOI: 10.3760/cma.j.issn.1001-2036.2017.01.016.
[49]唐举玉, 卿黎明, 吴攀峰, 等. 一种股前外侧穿支皮瓣血管切取的方法——逆行四面解剖法[J]. 中华显微外科杂志, 2021,44(2):137-140. DOI：10.3760/cma.j.cn441206-20200303-00121.
[50]常树森, 魏在荣, 金文虎, 等. 股前外侧皮瓣三纵五横法设计方案的临床研究[J]. 中华整形外科杂志, 2019,35(6):571-576. DOI: 10.3760/cma.j.issn.1009-4598.2019.06.011.
[51]Lin S J, Rabie A, Yu P. Designing the anterolateral thigh flap without preoperative Doppler or imaging[J]. J Reconstr Microsurg, 2010, 26(1):67-72. DOI: 10.1055/s-0029-1234023.
[52]Chung YY, Li SY, Chen MK. Three-dimensional colour Doppler imaging for evaluating perforators of the anterolateral thigh flap[J]. Clin Otolaryngol, 2017,42(2):497-499.
[53]Golusinski P, Luczewski L, Pazdrowski J, et al. The role of colour duplex sonography in preoperative perforator mapping of the anterolateral thigh flap[J]. Eur Arch Otorhinolaryngol, 2014, 271(5):1241-1247. DOI: 10.1111/coa.12454.
[54]徐宏征, 张书诺, 章一新, 等. 红外热成像技术与彩色多普勒超声在股前外侧穿支皮瓣术前穿支血管探测中的比较[J]. 中华显微外科杂志, 2021,44(4):388-391. DOI: 10.3760/cma.j.cn441206-20210319-00084.
[55]王戏丹, 李颖如, 林平, 等. 高频彩色多普勒超声联合红外线热成像技术在股前外侧穿支分叶皮瓣术前导航中的应用[J]. 中华医学超声杂志（电子版）, 2022,19(3):238-243. DOI: 10.3877/cma.j.issn.1672-6448.2022.03.009.
[56]Zhang Y, Pan X, Yang H, et al. Computed tomography angiography for the chimeric anterolateral thigh flap in the reconstruction of the upper extremity[J]. J Reconstr Microsurg, 2017,33(3):211-217. DOI: 10.1055/s-0036-1597587.
[57]Chen S Y, Lin W C, Deng S C, et al. Assessment of the perforators of anterolateral thigh flaps using 64-section multidetector computed tomographic angiography in head and neck cancer reconstruction[J]. Eur J Surg Oncol, 2010,36(10):1004-1011. DOI: 10.1016/j.ejso.2010.07.005.
[58]何晓清, 段家章, 徐永清, 等. 数字化辅助技术在股前外侧分叶皮瓣修复前中足脱套伤中的应用[J]. 中华创伤杂志, 2017,33(10):868-872. DOI: 10.3760/cma.j.issn.1001-8050.2017.10.002.
[59]王丹莹, 刘元波, 陈威威, 等. CT血管造影预估近端蒂股前外侧皮瓣血管蒂长度的临床应用研究[J]. 中国修复重建外科杂志, 2022, 36(3):322-328. DOI: 10.7507/1002-1892.202111002.
[60]周征兵, 贺继强, 唐举玉. 高选择性动脉插管CTA技术在显影与定位股前外侧穿支中的应用研究: 中国解剖学会2019年年会[C], 中国云南昆明, 2019.
[61]赵振华, 杨建峰, 王伯胤, 等. MRA、CTA与DSA在股前外侧皮瓣移植术前应用的对比研究[J]. 中华整形外科杂志, 2015, 31(3):172-175. DOI: 10.3760/cma.j.issn.1009-4598.2015.03.004.
[62]李雪栋, 赵刚, 潘筱云, 等. 非增强和增强核磁共振定位股前外侧皮瓣穿支的临床对照研究[J]. 中华手外科杂志, 2021, 37(1):27-30. DOI: 10.3760/cma.j.cn311653-20200323-00140.
[63]Ishiura R, Fujita M, Furuya M, et al. Skin perforator mapping method for anterolateral thigh flap using indocyanine green angiography[J]. J Plast Reconstr Aesthet Surg, 2018,71(10):e64. DOI: 10.1016/j.bjps.2018.07.031.
[64]La Padula S, Hersant B, Meningaud JP. Intraoperative use of indocyanine green angiography for selecting the more reliable perforator of the anterolateral thigh flap: A comparison study[J]. Microsurgery, 2018,38(7):738-744. DOI: 10.1002/micr.30326.
[65]Onoda S, Azumi S, Hasegawa K, et al. Preoperative identification of perforator vessels by combining MDCT, doppler flowmetry, and ICG fluorescent angiography[J]. Microsurgery, 2013, 33(4):265-269. DOI: 10.1002/micr.22079.
[66]莫勇军, 许林, 程志琳, 等. 增强现实技术联合数字化设计在股前外侧穿支皮瓣的应用[J]. 中华显微外科杂志, 2019, 42(2):189-192. DOI: 10.3760/cma.j.issn.1001-2036.2019.02.024.
[67]苑博, 佟长贵, 梁海东, 等. 虚拟现实/现实增强技术在游离股前外侧动脉穿支皮瓣中的初步应用[J]. 中华创伤杂志, 2018, 34(6):552-554. DOI: 10.3760/cma.j.issn.1001-8050.2018.06.012.
[68]Pratt P, Ives M, Lawton G, et al. Through the HoloLens looking glass: augmented reality for extremity reconstruction surgery using 3D vascular models with perforating vessels[J]. Eur Radiol Exp, 2018,2(1):2. DOI：10.1186/s41747-017-0033-2.
[69]Kuo YR, Yeh MC, Shih HS, et al. Versatility of the anterolateral thigh flap with vascularized fascia lata for reconstruction of complex soft-tissue defects: clinical experience and functional assessment of the donor site[J]. Plast Reconstr Surg, 2009,124(1):171-180. DOI: 10.1097/PRS.0b013e3181a80594.
[70]Sananpanich K, Tu YK, Kraisarin J, et al. Flow-through anterolateral thigh flap for simultaneous soft tissue and long vascular gap reconstruction in extremity injuries: anatomical study and case report[J]. Injury, 2008,39(Suppl 4):47-54. DOI: 10.1016/j.injury.2008.08.031.
[71]Hallock GG. Simultaneous transposition of anterior thigh muscle and fascia flaps: an introduction to the chimera flap principle[J]. Ann Plast Surg, 1991,27(2):126-131. DOI: 10.1097/00000637-199108000-00006.
[72]丁强, 刘元波, 臧梦青, 等. 以旋股外侧动脉不同分支为蒂的大腿反流灌注皮瓣的分型研究和临床应用[J]. 中华整形外科杂志, 2017, 33(z1):61-68. DOI: 10.3760/cma.j.issn.1009-4598.2017.s1.013.
[73]罗盛康, 高建华, 罗力生, 等. 游离削薄股前外侧皮瓣修复手腕部软组织缺损[J]. 中华显微外科杂志, 2005, 28(1):6-8. DOI: 10.3760/cma.j.issn.1001-2036.2005.01.003.
[74]杨涛, 熊颖杰, 胡智玉, 等. 游离足底内侧皮瓣串联股前外侧皮瓣修复足底负重区大面积软组织缺损[J]. 中华显微外科杂志, 2021,44(4):398-402. DOI: 10.3760/cma.j.cn441206-20200808-00313.
[75]赵铭, 李涛. 联体形式的股前外侧穿支皮瓣修复特殊类型创面的临床应用[J]. 中华显微外科杂志, 2018,41(2):181-184. DOI: 10.3760/cma.j.issn.1001-2036.2018.02.022.